Kathleen Jackson
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Nursing Quiz am Practice Questions for Final Fundamentals: Potter and Perry, erstellt von Kathleen Jackson am 05/10/2017.

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Kathleen Jackson
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Practice Questions for Final Fundamentals: Potter and Perry

Frage 1 von 83

1

When formulating a definition of "health," the nurse should consider that health, within its current definition, is:

Wähle eine der folgenden:

  • The absence of disease

  • A function of the physiological state

  • The ability to pursue activities of daily living

  • A state of well-being involving the whole person

Erklärung

Frage 2 von 83

1

A nurse is using a holistic approach when caring for a client. To incorporate all of the factors that may influence the client, which of the following nursing responses is most therapeutic?

Wähle eine der folgenden:

  • "I would like you to perform this exercise once a day."

  • "Your physician has left orders that you are to follow."

  • "The laboratory tests reveal the need to reduce your daily percentage of fat intake."

  • "Adapting to a low-fat diet and increasing your activity will help lower your blood glucose levels."

Erklärung

Frage 3 von 83

1

The client states, "Heart disease runs in our family. My blood pressure has always been high." The nurse determines that this is an example of the client's:

Wähle eine der folgenden:

  • Risk factors

  • Active strategy

  • Health beliefs

  • Negative health behaviour

Erklärung

Frage 4 von 83

1

A client is discharged following a heart attack. In using the Stages of Health Behaviour Change as a guide, the nurse recognises that the client is most likely to begin to accept information on diet changes and an exercise program during which stage?

Wähle eine der folgenden:

  • Action

  • Preparation

  • Maintenance

  • Contemplation

Erklärung

Frage 5 von 83

1

When assessing the external variables that influence a client's health beliefs and practices, the nurse must consider his:

Wähle eine der folgenden:

  • Income status

  • Religious practices

  • Educational background

  • Reaction to the heart disease

Erklärung

Frage 6 von 83

1

A paraplegic client is admitted for an electrolyte imbalance. Based on the levels of prevention, the client is receiving care at the level of:

Wähle eine der folgenden:

  • Health promotion

  • Primary prevention

  • Tertiary prevention

  • Secondary prevention

Erklärung

Frage 7 von 83

1

Which of the following nursing activities is an example of tertiary level care-giving?

Wähle eine der folgenden:

  • Teaching a client how to irrigate a new colostomy

  • Providing a class on hygiene for an elementary school class

  • Informing a client that her infant can be immunised at the health department

  • Arranging for a hospice nurse to visit with the family of a client with lung cancer

Erklärung

Frage 8 von 83

1

Which one of the following client assessment findings indicates a lifestyle risk factor to the nurse?

Wähle eine der folgenden:

  • Obesity

  • Sunbathing

  • Overcrowded housing

  • Industrial-based occupation

Erklärung

Frage 9 von 83

1

In the Health Belief Model, the nurse recognises that the focus is placed on the:

Wähle eine der folgenden:

  • Basic human needs for survival

  • Functioning of the individual in all dimensions

  • Relationship of perceptions and compliance with therapy

  • Multidimensional nature of clients and their interaction with the environment

Erklärung

Frage 10 von 83

10

The client who recently received a kidney transplant is worried about her husband since he has taken over the physical tasks of running their home. The client is in the process of adapting to a change in:

Wähle eine der folgenden:

  • Body image

  • Self-concept

  • Illness behavior

  • Family dynamics

Erklärung

Frage 11 von 83

10

Client assessment provides the nurse with necessary information for the development of an effective plan of care. When determining the influence of an internal variable on the client's health status, the nurse will specifically look for:

Wähle eine der folgenden:

  • Anxiety level present

  • Family remedies used

  • Location and type of occupation

  • Available health insurance coverage

Erklärung

Frage 12 von 83

10

A nurse understands that illness behavior means:

Wähle eine der folgenden:

  • Each distinct illness will cause the client to behave in a specific manner

  • Nursing care provides interventions that are behavior oriented

  • The client's behaviors will have a direct impact on his illness

  • When ill, a client's perception of illness will result in unique behaviors

Erklärung

Frage 13 von 83

10

A client tells the nurse that his illness is a result of his failure to "live a good life." The nurse recognizes this statement as an example of the client's:

Wähle eine der folgenden:

  • Risk factor

  • Health belief

  • Illness behavior

  • Negative health behavior

Erklärung

Frage 14 von 83

10

Which of the following client statements best relates to the third component of the Health Belief Model?

Wähle eine der folgenden:

  • "My blood cholesterol is only a little high."

  • "No one in my family is susceptible to the flu."

  • "I'll just avoid the food that causes the problem."

  • "By losing weight my blood pressure may come down."

Erklärung

Frage 15 von 83

10

The goal of Pender's Health Promotion theory is best reflected in which of the following nursing interventions?

Wähle eine der folgenden:

  • Suggesting the client experience a variety of exercise routines before settling on the one to adapt

  • Arranging for a client to attend a support group for individuals who also have severe burn scars

  • Playing soft, classical music when a client diagnosed with Alzheimer's becomes physically agitated

  • Providing a client with a history of stress-induced respiratory problems with detailed explanations regarding her care

Erklärung

Frage 16 von 83

10

The nurse knows that the greatest internal factor to consider when educating an adult client concerning health promotion activities is the client's:

Wähle eine der folgenden:

  • Emotional wellness

  • Developmental stage

  • Professed spirituality

  • Intellectual background

Erklärung

Frage 17 von 83

10

Which of the following nursing interventions is the best example of a primary care prevention strategy regarding the flu?

Wähle eine der folgenden:

  • Staffing a flu immunization clinic at a senior citizen's center

  • Providing flu prevention literature for distribution to visitors

  • Reminding client care personnel of the importance of the flu shot

  • Getting a drug manufacturer to donate flu vaccine for the homeless

Erklärung

Frage 18 von 83

10

The nurse can best discuss the impact of a known risk factor on a client's health by stating:

Wähle eine der folgenden:

  • "It doesn't mean you'll get the disease just that the odds are greater for you."

  • "Now you know that the possibility is there, you can take steps to prevent it."

  • "The risk factor can be managed by making a change in your lifestyle."

  • "You're lucky because you have the benefit of being able to do something about it."

Erklärung

Frage 19 von 83

10

The nurse is caring for an older adult client who has reported symptoms suggestive of depression. Which of the following questions asked by the nurse is most therapeutic in assessing the client's perception of the impact depression has had on her life?

Wähle eine der folgenden:

  • "What does it mean to be depressed?"

  • "How does being depressed make you feel?"

  • "Were you happy before becoming depressed?"

  • "What makes you think that you are depressed?"

Erklärung

Frage 20 von 83

10

The nurse is caring for a 6-year-old child who is scheduled for outpatient surgery. Piaget's theory of cognitive development suggests that the nurse can help the child cope with the stress of this hospital experience best by:

Wähle eine der folgenden:

  • Arranging for the parents to be with the child until the anesthetic takes affect

  • Explaining the entire process with the child using age-appropriate language

  • Using play as a means of familiarizing the child with the events he will experience

  • Providing the child with a coloring book that shows the events he will be experiencing

Erklärung

Frage 21 von 83

10

Which of the following nursing responses is most therapeutic when made in response to a parent's concern about her 3-year-old child's tendency to "break the rules"?

Wähle eine der folgenden:

  • "Just keep reminding her of the rules."

  • "Daycare will help her learn to play fair."

  • "She will begin to understand that concept in a year or so."

  • "Add an age appropriate punishment for breaking the rules."

Erklärung

Frage 22 von 83

10

To help a comatose client's family make a moral decision regarding the termination of life support, the nurse must first:

Wähle eine der folgenden:

  • Refrain from expressing his/her personal beliefs concerning the life support issue

  • Provide the family with information regarding the process of terminating life support

  • Determine whether the client had expressed any written or oral wishes regarding the issue

  • Facilitate the family's decision-making process by providing them with a quiet, private space for discussion

Erklärung

Frage 23 von 83

10

Which of the following best describes a nurse thinking at stage 5 of Kohlberg's Moral Developmental Theory?

Wähle eine der folgenden:

  • "The client has a right to decide whether or not to proceed with the treatment plan."

  • "The hospital's policies and procedures are excellent tools for making client oriented decisions."

  • "It won't be fair to expect to get every weekend and holiday off, so I'll certainly work my share."

  • "If you don't keep client information confidential you could be terminated immediately."

Erklärung

Frage 24 von 83

10

Which of the following client statements made by an older adult best reflects an understanding of the decrease in physical strength and stamina in this developmental stage?

Wähle eine der folgenden:

  • "I know I'm not as young as I use to be."

  • "I just hire help with jobs I can't do myself."

  • "You get older you can't do as much, that's life."

  • "I have to ask my son for help with the yard work."

Erklärung

Frage 25 von 83

10

Which of the following data is the most important for the nurse to assess when caring for a woman in her second trimester of pregnancy?

Wähle eine der folgenden:

  • Detection of fetal movement

  • Observation that the uterus is below the pubis

  • Confirmation of the desire to breast- or bottle-feed

  • Determination of the presence of morning sickness

Erklärung

Frage 26 von 83

10

Standard precautions are precautions taken each time an episode of care or task is undertaken (e.g. hand washing, use of personal protective equipment, cleaning of equipment) that will reduce the transmission of infections.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 27 von 83

10

Aprons and gloves should not be worn in common use areas such as corridors, staff room, office or linen room.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 28 von 83

10

Masks and goggles must be worn for care activities such as care of residents who have a cough.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 29 von 83

10

The use of gloves is an effective substitute for hand washing.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 30 von 83

10

You must wash your hands after removing your gloves.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 31 von 83

10

In a care home, standard precautions are the responsibility of nurses and carers only.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 32 von 83

10

The objective of standard precautions is to prevent the spread of infection within the care home:

Wähle eine der folgenden:

  • From resident to resident.

  • From resident to staff.

  • From staff to resident.

  • From staff to staff.

  • All answers are correct.

Erklärung

Frage 33 von 83

10

The most important procedure for the prevention of infection from microorganisms is:

Wähle eine der folgenden:

  • Wearing gloves

  • properly bagging used linen.

  • Effective hand washing.

  • Wearing protective eyewear.

Erklärung

Frage 34 von 83

10

Bacteria and viruses can spread by way of:

Wähle eine der folgenden:

  • Water, food, drinks, and eating utensils.

  • Direct contact with people and/or body substances.

  • Coughing, sneezing, or vomiting.

  • All answers are correct

Erklärung

Frage 35 von 83

10

Which of the following statements are true about effective hand washing?

Wähle eine oder mehr der folgenden:

  • Keep elbows lower than hand when washing and rinsing.

  • Use friction to clean between fingers, palms, nail beds, back of hands and wrists

  • Wash for 30 seconds or longer using an alcohol-based hand rinse.

  • Use a paper towel to turn off the light switch.

Erklärung

Frage 36 von 83

10

You should wash your hands:

Wähle eine der folgenden:

  • After taking off a gloves and/or apron

  • Before going into a resident’s room and after coming out.

  • At the beginning and end of my shift.

  • All answers are correct

Erklärung

Frage 37 von 83

10

Alcohol-based hand gel SHOULD NOT be used:

Wähle eine der folgenden:

  • Prior to contact with resident.

  • If fingernails are chipped.

  • If the resident has a respiratory infection.

  • If hands are visibly dirty.

Erklärung

Frage 38 von 83

10

Which of the following are allowed when you are bare below the elbows?

Wähle eine der folgenden:

  • Wedding rings with stones

  • Wrist watches

  • Long finger nails / nail extensions / false nails

  • No answer is correct

Erklärung

Frage 39 von 83

10

Who is responsible for cleanliness within the care home?

Wähle eine der folgenden:

  • The manager, The housekeeper/domestic staff

  • The nurses

  • The carers

  • All answers are correct

Erklärung

Frage 40 von 83

10

Cohort isolation means:

Wähle eine der folgenden:

  • Different patients with same infection

  • Different infections in same age group

  • Only old age people

  • Only young age people

Erklärung

Frage 41 von 83

10

Standard precautions include:

Wähle eine oder mehr der folgenden:

  • Hand hygiene

  • PPE

  • Making the bed

  • All answers are correct

Erklärung

Frage 42 von 83

10

Air borne precautions includes?

Wähle eine der folgenden:

  • N-95 Mask positive pressure room

  • N-95 Mask.Negative pressure room

  • Hand Hygiene

  • Gloves

Erklärung

Frage 43 von 83

10

Contact precautions not include: N-95 Mask and Negative pressure room

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 44 von 83

10

When are additional transmission based precautions required?

Wähle eine der folgenden:

  • When standard precautions are not useful

  • When standard precautions alone are not sufficient to prevent the transmission of disease or infectious

  • When patients have hepatitis C

  • All answers are correct

Erklärung

Frage 45 von 83

10

Mrs fatima is admitted to Hospital A with a leg wound which is infected with methicillin resistant Staphylococcus aureus (MRSA). The wound has moderate purulent ooze. Mr Jones is admitted to hospital A and because he was in the hospital with an MRSA infected surgical wound one month ago. He has his nose and groin swabbed for MRSA and is found to be colonised with MRSA. Mrs Smith is placed in contact precautions. Should Mr Jones also be placed in contact precautions?

Wähle eine der folgenden:

  • Both conditions will be OK

  • No,there is no need

  • Yes, because colonization may be a form of carriage and is a potential source of transmission

  • Maybe

Erklärung

Frage 46 von 83

10

Three patients present to a small rural hospital on Monday morning. Six year old Will is covered in a florid rash with a high temperature and a cough. His mother does not believe in vaccinating her children. They recently returned from a trip to India. Two month old Jade has been admitted with bronchiolitis probably caused by respiratory syncitial virus (RSV). Ten year old Blake has a nasty infected cut on his hand. His brother was recently discharged from the hospital following treatment for community acquired MRSA infection of his leg.
The hospital only has one single room available. Which of the three patients should be placed in the single room?

Wähle eine der folgenden:

  • No one need to be isolated.

  • Will because he probably has measles and since this is spread by the airborne route he needs a single room with negative pressure air conditioning. If that is not available he must be put in a single room.

  • Blake's brother should be isolated

  • Everyone needs to be isolated.

Erklärung

Frage 47 von 83

10

Five moments have been identified as critical times when hand hygiene should be performed. These are:

Wähle eine der folgenden:

  • Before and after patient contact; before a procedure; after a procedure or contact with blood or body fluids; after contact with the patient's environment

  • After a procedure or contact with blood or body fluids; after contact with the patient's environment ,before using toilet

  • Hand should be washed only when you received the patients

  • Only when you remember

Erklärung

Frage 48 von 83

10

What three elements are needed for a healthcare associated infection to occur?

Wähle eine der folgenden:

  • An infectious agent, a source and a susceptible host

  • An infectious agent; carrier; pathogen

  • Source,carrier and contact

  • All answers are correct

Erklärung

Frage 49 von 83

10

Standard precautions are work practices required for the basic level of infection control. Which of the following do they apply to?

Wähle eine der folgenden:

  • All Hep B patients

  • All patients regardless of suspected or confirmed infection status.

  • Only TB patients.

  • No answer is correct

Erklärung

Frage 50 von 83

10

The term sterile is absolute; an item is either sterile or not sterile.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 51 von 83

10

Only sterile items can be placed on the sterile field.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 52 von 83

10

Even if there is no visible sign of a tear, if a glove is thought to have been punctured, it should be changed.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 53 von 83

10

The edges of a wrapper are considered sterile.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 54 von 83

10

An open-gloving technique would be used when performing urinary catheterization.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 55 von 83

10

Living tissue cannot be sterilized but can be rendered surgically clean.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 56 von 83

10

Hand washing is not necessary if gloves are worn.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 57 von 83

10

The amount of space that should be left between sterile and nonsterile surfaces is 2 to 4 centimeters

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 58 von 83

10

Culture may be defined as “common values, beliefs, traits, traditions and/or language
that are learned and shared by members of a group.”

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 59 von 83

10

It is OK to use gestures since each one has the same meaning universally.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 60 von 83

10

A client’s cultural background will often determine how they would like to be
approached and their communication style.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 61 von 83

10

Which of the following statements is correct?

Wähle eine der folgenden:

  • People all have the same basic needs when they are sick.

  • Although pain is experienced by all, culture is an important consideration in how you observe clients and provide care

  • Regardless of their culture, clients will follow the service plan or plan of care as long as they understand it

  • Two clients from Spain can be treated alike because of their common culture.

Erklärung

Frage 62 von 83

10

Different cultures have varying ideas about family involvement in client care therefore:

Wähle eine der folgenden:

  • Consult the head of the family regarding who should be included in decision making.

  • Research the patient’s culture so that appropriate care decisions may be made.

  • Consult the agency’s policy and procedures regarding client involvement in care.

  • Ask the client to whom information should be given and who to consult for decision making.

Erklärung

Frage 63 von 83

10

Which of the following is not a reason to assist residents with grooming?

Wähle eine der folgenden:

  • Being well groomed can enhance the resident's medication use

  • Being well groomed can enhance the resident's self esteem

  • Being well groomed can enhance the resident's feelings of self worth

  • Being well groomed can enhance the resident's desire to participate in activities

Erklärung

Frage 64 von 83

10

Which of the following encourages independence with activities of daily living?

Wähle eine der folgenden:

  • Adequate lighting

  • Putting items within easy reach

  • Praising the resident

  • All answers are correct

Erklärung

Frage 65 von 83

10

ADL's an acronym for:

Wähle eine der folgenden:

  • Advancing Daily Living

  • Activities of Daily Living

  • Activity of Declining Life

  • Activities Don't Last

Erklärung

Frage 66 von 83

10

A resident who needs the grooming items set out and partial performance of the task by the caregiver is considered:

Wähle eine der folgenden:

  • Independent

  • Stand by assist

  • Total assist

  • No answers are correct

Erklärung

Frage 67 von 83

10

How should the water for the shower be checked?

Wähle eine der folgenden:

  • First by the caregiver, then pointed at the resident so he can feel it on his legs

  • By the resident, since he is the one taking the shower

  • By the caregiver, then pointed away from the resident allowing him to feel it with his hand

  • By the caregiver only

Erklärung

Frage 68 von 83

10

Medications can be left in the room with the resident because they said they will take them.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 69 von 83

10

When a resident refuses a medication, put it in an envelope with name, date, and reason for refusal.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 70 von 83

10

When documenting a wound near the ankle, it would be correct for the nurse to write that the wound is distal to a wound located on the thigh.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 71 von 83

10

A pressure ulcer can be defined as a lesion caused by unrelieved pressure resulting in damage of underlying tissues.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 72 von 83

10

Partial thickness tissue loss is when subcutaneous fat may be visible as well as tendon or muscle but no bone exposure?

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 73 von 83

10

A stage 4 pressure ulcer always has undermining and/or tunneling.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 74 von 83

10

Wound edges that are detached means that the oase of the wound is deeper than the edges.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 75 von 83

10

Which pain scale is the most sensitive to gender and ethnic differences?

Wähle eine der folgenden:

  • Visual

  • Verbal

  • Numerical

  • Flacc

Erklärung

Frage 76 von 83

10

An entry must be made in the nurse's notes each time you give pain meds with the reason why, time given and effectiveness

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 77 von 83

10

Care Plans must reflect what interventions work for the patient and which ones don't.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 78 von 83

10

A patient is hospitalized with severe depression after her divorce is finalized. Which type of loss is the patient experiencing?

Wähle eine der folgenden:

  • Actual

  • Perceived

  • Physical

  • External

Erklärung

Frage 79 von 83

10

The nurse is caring for a patient who is terminally ill with lung cancer. Recently, the patient's blood pressure has been decreasing and heart rate increasing. He is experiencing temperature fluctuations and perspires profusely with limited movement. Based on these findings, the patient will most likely die within which time period?

Wähle eine der folgenden:

  • 1 to 3 months

  • 1 to 2 weeks

  • Days to hours

  • Moments

Erklärung

Frage 80 von 83

10

A family member asks the nurse to explain the purpose of hospice care. Which of the following is the best response? Hospice care:

Wähle eine der folgenden:

  • Is appropriate when the patient desires to intentionally end his life

  • Focuses on minimizing the disease process as rapidly as possible

  • Focuses on symptom management for patients not responding to treatment

  • Is holistic care for patients dying or debilitated and not expected to improve

Erklärung

Frage 81 von 83

10

After a patient dies of ovarian cancer, her daughter says to the nurse, "You'll probably think I'm terrible, but I'm glad she can finally rest peacefully." Which response by the nurse is best?

Wähle eine der folgenden:

  • "Your feelings are a normal response to watching your loved one suffer."

  • "It's unusual for family members to be grateful that a loved one has died."

  • "Your mother's death has been very hard on you; you should seek counseling."

  • "I don't understand what you mean by this comment."

Erklärung

Frage 82 von 83

10

A nurse is caring for a dying patient who is non-responsive. Which of the following is it important for the nurse to do?

Wähle eine der folgenden:

  • Be alert to the patient's nonverbal cues.

  • Direct explanations about care to family members.

  • Tell the patient when the nurse is about to leave the room.

  • Sit by the head of the bed when speaking to the patient.

Erklärung

Frage 83 von 83

10

A patient has been in the dying process for about 10 days. His wife has left his side only for very short periods during that time, and she looks pale and exhausted. The nurse, realizing the wife has not eaten much, suggests that she take a break to eat and rest. The woman refuses, saying, "I don't want to leave him. I won't have him much longer, and I don't want him to go when I'm gone." What should the nurse do?

Wähle eine der folgenden:

  • Explain that she will be of more help to her husband if she is rested and well.

  • Tell the wife that it is safe to leave her husband for an hour or two because he won't die that soon.

  • Call the primary care provider to come and try to persuade her to take physical care of herself.

  • Arrange for a cot for her at the bedside and arrange to have food brought to her.

Erklärung